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Contact Information

BAY RIDGE MEDICAL GROUP, PLLC
7404 5TH AVE
BROOKLYN, NY11209-2704
 Phone: 929-415-8856
 Fax: 718-233-3165
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for BAY RIDGE MEDICAL GROUP PLLC · (Female)

NPI # 1245097989
Status Active
Credentials
Entity Individual
Enumeration date 02/29/2024
Last updated 11/21/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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